What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Coughing without letting food escape through the tracheostomy

Taking care of the tracheostomy, because the patient will always have to have one

Teaching the patient to swallow without aspiration

Teaching the patient to use an assistive device to speak

Answer and Explanation

The Correct Answer is C

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

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Correct Answer is C

Explanation

a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.

A. Urinary output of 280 mL during previous 8 hr B. Pedal edema C. Hematuria D. Blood pressure 162/90 mm Hg

Correct Answer is D

Explanation

a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.

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What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

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Naxlex Comprehensive Predictor Exams

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

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Correct Answer is D

Explanation

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